Barbara Boillat, MA LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015991 Issued in MI

Practice address

1200 N Telegraph Rd Ste 32E
Pontiac, MI 48341-1032

Phone

(248) 456-1991

NPI assigned

Mar 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Therapeutics, LLC

  • Methadone Clinic
  • Walled Lake, MI
  • NPI 1902284193
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1598268005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31075 WELLINGTON DR APT 30303",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774101",
            "telephone_number": "248-986-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TELEGRAPH RD STE 32E",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411032",
            "telephone_number": "248-456-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50222 Dennis Ct",
            "address_purpose": "LOCATION",
            "city": "Wixom",
            "state": "MI",
            "postal_code": "483932023",
            "country_code": "US",
            "telephone_number": "248-525-6832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOILLAT",
        "first_name": "BARBARA",
        "credential": "MA LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloomfield Surgical Associates PC
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• Ana Maria Boada Martinez
• Abigail Nielsen Boatman, DDS
• Colin Bohr
• Abigail Renee Boisvert
• Braden Matthew Boji, MD
• Abdullah Bokhari, D.O.
• Shannon Boldenow
• Ricky Boldman

• Professional Counselor in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.